Professional Documents
Culture Documents
• Use this form to identify hazards in fieldwork & off-campus activities and the controls that will be used for
Fieldwork, undergraduate fieldtrips or work at premises managed by another organisation.
o NOT required for conferences or other very low risk visits to organisations
o Domestic or international travel must follow the Deakin travel procedure
• Approval and sign-off (section 3) must take place before work starts and should occur in the order:
1. Work Leader (the staff member or student who is directly controlling the work on a daily basis)
2. Work Supervisor (the staff member who is supervising the work; may also be the Work Leader)
3. Fieldwork & Off-Campus Work Safety Officer
• All work participants should have access to the completed assessment
• An Off Campus Questionnaire should be completed by all participants attending a fieldtrip to obtain emergency
contact details and medical information
Written procedures: ☐Emergency situation: What is the situation? e.g. separation from group
☐Safe work method: Detail e.g. sample collection
☐Use Duty Officer or provide report-back details: Provide details or attach completed form
☒ Off-campus activities form to assess that participants are fit to take part and gather emergency contacts
☐ Participant briefing before work How will this be done?
☐ Training in safe work procedure Add detail
☐ PPE in addition to standard requirements: Detail
i.e. clothing and equipment appropriate to seasonal conditions
☐ Any other: Provide relevant detail
OVERNIGHT STAYS: Will the work involve overnight stays away from the University?
☐ Fixed accommodation e.g. hotel/motel/cabin: List any safety considerations
☐ Private residence: List any safety considerations
☐ Camping (tent): List any safety considerations, e.g. site selection, personal safety
TRAVEL: What are the travel arrangements to and from the field site?
Vehicle, travel distance/times, driver(s), etc.
Select travel hazards that apply Arrangements in place
☐Extended drive time (>2 hours/day) ☐Planned regular breaks (at least every 2 hours)
☐Limit total travel per day to 10 hours
☐Alcohol and medication that causes drowsiness to be
avoided before and during the trip
Any other arrangements
☐Driver has undertaken accredited training (provide
☐Use of 4wd vehicle off-road certificate or details of course undertaken)
Course details or any other arrangements
☐Driver has undertaken training course or demonstrated
☐ Towing a trailer experience and competency
Any other arrangements
☐Limit driving during peak animal period 5-10pm
☐ Possibility of animal strike
☐Bullbar is fitted to the vehicle
☐ Other Detail of arrangements
Private vehicles are only to be used in extreme circumstances. Refer to the Use of University Vehicles Guidelines
Work Supervisor/Manager
Definition: The staff member who is supervising the work; may be the same person as the Work Leader
As the Work Supervisor I believe so far as is practicable that:
• This Work Safety Assessment is correct and that the control measures will be in place when the work
occurs.
• Adequate induction and training has been/will be provided to all participants in this work to enable them to
operate safely
• Adequate supervision will be provided to all participants in this work to enable them to operate safely
Insert
Name: Tricia Wevill scanned Date: 12/02/2019
signature:
Additional Participants
Definition: Anyone taking part in the work who is not the work leader or supervisor
• I have read and understood this Work Safety Assessment; I will follow safe work practices as directed by the
Work Leader and Work Supervisor
Insert
Name: Text scanned Date: Date
signature:
(Click + in the text box above to add more additional participants)
Based upon my experience and training I believe that the hazards of this FIELDWORK & OFF-CAMPUS WORK have
been fully identified, and that the controls implemented are adequate to minimise risk as much as possible.
Name & title: Clorinda Schofield, Technical Services Coordinator, LES Burwood
Insert
scanned Date: 12/02/2019
signature:
Likelihood
Very unlikely Unlikely Likely Very likely
Could happen but Could happen but Could happen some Could happen at
probably never will very rarely time any time
Fatality or permanent
Potential Consequences
Low Work may proceed – all should be aware of the hazard and its agreed management
Work cannot proceed without further consideration – re-evaluate the controls to lower the risk level
Medium before work is conducted. The work should not be conducted unless a high level of risk control can be
demonstrated with minimal chance of failure.
Work cannot proceed – work with this risk level cannot proceed/ should be stopped immediately.
High Review the task/ project and reduce the risk using the hierarchy of control and reassess.
Where controls do not lower the residual risk to low, re-evaluate the task in consultation with your local Fieldwork & Off-
Campus contact or Supervisor/Manager.